OrganizationActive
Providence Nutrition, LLC
NPI 1548775299 · Nutritionist · Providence, RI
Provider details
- NPI number
- 1548775299
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Neil Beranbaum, Manager(401) 465-4222
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
439 Benefit St Unit 1
Providence, RI 02903-2934
Phone: (401) 262-0841
Approximate (ZIP-level) locationGet directions
Mailing address
439 Benefit St Unit 1
Providence, RI 02903-2934
Registry dates
- Enumerated
- 2017-12-04
- Last updated
- 2017-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.